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Nevada rates for HCPCS J1572

Injection Immune Globulin (Flebogamma) Intravenous Non-Lyophilized (E.G. Liquid) 500mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.73 / $100.19 / $139.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.73 / $54.00 / $105.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.59 / $56.12 / $66.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.94 / $54.00 / $56.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.54 / $54.00 / $54.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.00 / $54.00 / $54.00
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.00 / $54.00 / $63.53
Hometown Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.02 / $62.02 / $62.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.94 / $52.94 / $59.29